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Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Chernykh K.P.

St. Petersburg City Alexandrovskaya Hospital

Artyukhov S.V.

Alexandrovskaya Hospital

Bagdavadze G.Sh.

Alexandrovskaya Hospital

Dzhanelidze M.O.

Western Regional Center of Modern Medical Technologies

Lider R.Yu.

Kemerovo State Medical University

Abdullaev A.D.

St. Petersburg City Alexandrovskaya Hospital

Zarkua N.E.

Alexandrovskaya Hospital

Kalinin E.Yu.

Alexandrovskaya Hospital

Chikin A.E.

Alexandrovskaya Hospital

Zaitseva T.E.

Alexandrovskaya Hospital

Linets Yu.P.

Alexandrovskaya Hospital

Carotid endarterectomy in patients with internal carotid artery thrombosis in the acutest period of ischemic stroke with COVID-19

Authors:

Kazantsev A.N., Chernykh K.P., Artyukhov S.V., Bagdavadze G.Sh., Dzhanelidze M.O., Lider R.Yu., Abdullaev A.D., Zarkua N.E., Kalinin E.Yu., Chikin A.E., Zaitseva T.E., Linets Yu.P.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(10): 25‑31

DOI: 10.17116/jnevro202112110125

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Table of contents

CAROTID ENDARTERECTOMY IN PATIENTS WITH INTERNAL CAROTID ARTERY THROMBOSIS IN THE ACUTEST PERIOD OF ISCHEMIC STROKE WITH COVID-19
CAROTID ENDARTERECTOMY IN PATIENTS WITH INTERNAL CAROTID ARTERY THROMBOSIS IN THE ACUTEST PERIOD OF ISCHEMIC STROKE WITH COVID-19

To cite this article:

Kazantsev AN, Chernykh KP, Artyukhov SV, et al. Carotid endarterectomy in patients with internal carotid artery thrombosis in the acutest period of ischemic stroke with COVID-19. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(10):25‑31. (In Russ.)
https://doi.org/10.17116/jnevro202112110125

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

Analysis of the results of emergency carotid endarterectomy (CEE) in internal carotid artery (ICA) thrombosis in the acute period of acute cerebrovascular accident (ACVI) in patients with COVID-19.

MATERIAL AND METHODS

During the COVID-19 pandemic (April 1, 2020 — May 1, 2021), 43 patients with ICA thrombosis and a positive polymerase chain reaction (PCR) result for SARS-CoV-2 were included in this prospective study. In all cases, CEE was performed in the acutest period of ACVA. These patients were included in group 1. The comparison group was represented by 89 patients who underwent CEE in the acute period of stroke, in the period before the COVID-19 pandemic (April 1, 2019 — March 1.2020).

RESULTS

In the hospital postoperative period, the groups were comparable in terms of the incidence of deaths (group 1: 2.3%, n=1; group 2: 1.1%, n=1; p=0.81; OR=2.09; 95% CI=0.12—34.3) myocardial infarction (group 1: 2.3%, n=1; group 2: 0%; p=0.7; OR=6.3; 95% CI=0.25—158.5), CVA (group 1: 2.3%, n=1; group 2: 2.2%, n=2; p=0.55; OR=1.03; 95% CI=0.09—11.,7). ICA thrombosis and hemorrhagic transformations were not recorded. However, in view of severe coagulopathy with ongoing anticoagulant/antiplatelet therapy, patients with COVID-19 more often developed bleeding in the operation area (group 1: 11.6%, n=5; group 2: 1.1%, n=1; p=0.02; OR=11.5; 95% CI=1.3—102.5).

CONCLUSION

Emergency CEE in the acute period of stroke is an effective and safe method of cerebral revascularization in case of ICA thrombosis in conditions of COVID-19.

Keywords:

carotid endarterectomy
glomus-sparing carotid endarterectomy
carotid glomus
eversional carotid endarterectomy
hemorrhagic transformation
COVID-19
thrombosis of internal carotid artery
coagulopathy

Authors:

Kazantsev A.N.

St. Petersburg City Alexandrovskaya Hospital

Chernykh K.P.

St. Petersburg City Alexandrovskaya Hospital

Artyukhov S.V.

Alexandrovskaya Hospital

Bagdavadze G.Sh.

Alexandrovskaya Hospital

Dzhanelidze M.O.

Western Regional Center of Modern Medical Technologies

Lider R.Yu.

Kemerovo State Medical University

Abdullaev A.D.

St. Petersburg City Alexandrovskaya Hospital

Zarkua N.E.

Alexandrovskaya Hospital

Kalinin E.Yu.

Alexandrovskaya Hospital

Chikin A.E.

Alexandrovskaya Hospital

Zaitseva T.E.

Alexandrovskaya Hospital

Linets Yu.P.

Alexandrovskaya Hospital

Received:

28.05.2021

Accepted:

02.06.2021

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References:

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